Ethan Edward Smith, PA-C
Physician Assistant · Spooner, WI
Practice location
1180 Chandler DrSpooner, WI 54801-2204
- Phone
- (715) 635-2151
NPI record
- NPI
- 1073215984
- Entity type
- Individual (Type 1)
- Enumeration date
- March 22, 2023
- Last updated
- September 11, 2024
- Certified
- September 11, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
8040 | WI |
Mailing address
400 E 3rd StDuluth, MN 55805-1951
- Phone
- (218) 786-8364
About Ethan Smith
Ethan Edward Smith, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1180 Chandler Dr, Spooner, WI 54801-2204. The NPI number 1073215984 was assigned on March 22, 2023 and the record was last updated on September 11, 2024.
Ethan Smith lists a license in the registry: #8040 (WI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ethan Edward Smith, PA-C?
The NPI number is 1073215984.
What is the phone number of Ethan Smith?
The phone number listed for the practice location is (715) 635-2151.
Where is Ethan Smith located?
1180 Chandler Dr, Spooner, WI 54801-2204.
What is the taxonomy code for Ethan Smith?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Spooner
- Robert Peterson, PA-C707 Ash Street